NPI | 1063853885 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG N STEVENS Owner/President 801-573-5040 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: UT 159834-1205) |
Enumeration Date | 2013-07-09 |
Last Update Date | 2013-07-09 |